- LA Care Health Plan (Los Angeles, CA)
- Manager , Customer Solution Center Appeals and Grievances Job Category: Management/Executive Department: CSC Appeals & Grievances Location: Los Angeles, CA, ... net required to achieve that purpose. Job Summary The Manager , Customer Solution Center Appeals and Grievances is responsible for the centralized intake, logging… more
- The County of Los Angeles (Los Angeles, CA)
- …quality assessment and assurance monitoring processes; and handle informal complainant appeals . Health Facilities Program Manager , Nursing positions are required ... HEALTH FACILITIES PROGRAM MANAGER , NURSING Print (https://www.governmentjobs.com/careers/lacounty/jobs/newprint/4626091) Apply HEALTH FACILITIES PROGRAM MANAGER… more
- LA Care Health Plan (Los Angeles, CA)
- Customer Solution Center Appeals and Grievances Quality Auditing Specialist II Job Category: Administrative, HR, Business Professionals Department: CSC Appeals & ... achieve that purpose. Job Summary The Customer Solution Center Appeals and Grievances Quality Auditing (QA) Specialist II is...assisting the Appeal and Grievances Compliance, Training and QA Manager to develop a successful and cohesive unit with… more
- Elevance Health (Costa Mesa, CA)
- …an accommodation is granted as required by law._ The **Medicaid Grievance and Appeals Intake Analyst** is an entry level position in the Enterprise Grievance & ... Appeals Department that reviews, analyzes and processes non-complex pre...Strategy. Unless specified as primarily virtual by the hiring manager , associates are required to work at an Elevance… more
- Elevance Health (Walnut Creek, CA)
- **Behavioral Health Medical Director-Psychiatrist Appeals ** **Location:** California. This role enables associates to work virtually full-time, with the exception of ... Director Associates. + Works independently with oversight from immediate manager . + May be responsible for an entire clinical...the United States when conducting utilization review or an appeals consideration and cannot be located on a US… more
- City and County of San Francisco (San Francisco, CA)
- …. San Francisco International Airport (SFO) is hiring a Risk and Compliance Manager to join a world class organization. Are you a highly analytical individual ... so, come join our team! The Risk and Compliance Manager oversees all aspects of the Airport's comprehensive risk...to change after adoption (eg, as a result of appeals ), as directed by the Human Resources Director or… more
- City and County of San Francisco (San Francisco, CA)
- …career site at https://www.sfpuc.gov/about-us/careers-sfpuc Under direction, the Retail Services Manager will be responsible for overseeing the SFPUC's Power ... transportation and building electrification needs of the City. This manager will provide oversight for the analysis, consultation, and...to change after adoption (eg, as a result of appeals ), as directed by the Human Resources Director or… more
- City and County of San Francisco (San Francisco, CA)
- …services. Under the direction of the Director of Street Health, the Street Health Manager (0923 Manager II) oversees services for individuals who are unhoused or ... align the Street Health teams' efforts. The Street Health Manager also represents the Department of Public Health (DPH)...Rule 111A.35.1. The standard for the review of such appeals is 'abuse of discretion' or 'no rational basis'… more
- City and County of San Francisco (San Francisco, CA)
- …at large. The Senior Community Development Specialist I / Multifamily Project Manager performs multifamily housing finance work, which may include: + preserving the ... Rule 111A.35.1. The standard for the review of such appeals is 'abuse of discretion' or 'no rational basis...position description, the minimum qualifications and/or the certification rule. Appeals must include a written statement of the item(s)… more
- J&J Family of Companies (Fresno, CA)
- …Posting Locations:** Fresno, California, United States **Job Description:** **Field Reimbursement Manager (Immunology Rheumatology) - Fresno, CA - Johnson & Johnson ... Engagement and Customer Solutions (PECS) team is recruiting for a Field Reimbursement Manager which will be a field-based position that will include the Fresno,… more